Residential Application Form For your application to be processed you must answer all questions (Including the reverse side)

Addison Real EstateAddress 61 Hotham Street Traralgon 3844Ph: (03) 5174 9333Fax: (03) 5174 4393Web:www.addisonrealestate.com.auEmail: rentals@addisonrealestate.com.au

C. PERSONAL DETAILS

6. Please provide your contact details

A. AGENT DETAILS

B. PROPERTY DETAILS

D. UTILITY CONNECTIONS

E. DECLARATION

1. What is the address of the property you would like to rent?

Who did you view this property with?Date: / /

2. Lease commencement date?

Day Month Year3. Lease term?

Years Months4. How many tenants will occupy the property?

Adults Children

5. Please give us your details

Mr Ms Miss Mrs OtherSURNAME GIVEN NAME/S

Date of Birth Driver’s licence number

Driver’s licence expiry date Driver’s licence state

Passport no. Passport country

Pension no. (if applicable) Pension type (if applicable)

Home phone no. Mobile phone no.

Work phone no. Fax no.

Email address

7. What is your current address?

Postcode

Property Rental

$ $per week per month

Ages4a. Please provide details of any petsBreed/type Council registration / number

Signature Date

Property Manager Name

N.B. Both sides of this application must be completed

Do you have any other pending applications with another agency?

Yes / No

Application emailed to Myconnect (If Required)

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter Into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have Inspected the premises and am not bankrupt.

I authorise the Agent to obtain personal Information from:(a) The owner or the Agent of my current or previous residence;(b) My personal referees and employer/s;(c) Any record listing or database of defaults by tenants such as NTD, TICA or TRA for the purpose of checking your tenancy history;I am aware that I may access my personal information by contacting - • NTD: 1300 563 826• TICA: 1902 220 346• TRA: (02) 9363 9244 If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents(c) allow tradespeople or equivalent organisations to contact me(d) lodge/claim/transfer to/from a Bond Authority(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) complete a credit check with NTD (National Tenancies Database)(h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises.

You must view the property you are applying for prior to submitting this application.

10. Landlord/Agent details of this property (if applicable)

13a. Landlord/Agent details of this property (if applicable)

13b. Landlord/Agent details of this property (if applicable)

G. INCOME DETAILS14. Please provide your employment details Initial payments must be made by eftpos, bank cheque/money order

within 24 hours after approval of application. No Personal Cheques or Cash accepted.Keys will not be handed over until the the nominated move in date stipulated by asset manager. 4 weeks rent and BOND along with signed lease agreements must also be completed prior to keys being made available.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.HOW DID YOU FIND OUT ABOUT THIS PROPERTY?

Board

Referral

The Internet

Counter List

Other (specify)

Local PaperRelocation Company

F. APPLICANT HISTORY

H. CONTACTS / REFERENCES

I. OTHER INFORMATION

17. Provide 3 personal references (not related to you nor friends)1. Surname Given name/s

Relationship to you Phone no.

2. Surname Given name/s

Relationship to you Phone no.

PLEASE NOTE

8. How long have you lived at your current address?

Date From: Date To:9. Why are you leaving this address?

Name of landlord or agent

Landlord/agent’s phone no.

$Weekly Rent

11a. What was your previous residential address?

11b. What was your previous residential address?

12a. How long did you live at this address?

Date From: Date To:

12b. How long did you live at this address?

Date From: Date To:

Name of landlord or agent

Name of landlord or agent

Landlord/agent’s phone no.

Landlord/agent’s phone no.

$Weekly Rent

$Weekly Rent

Was bond refunded in full?

Was bond refunded in full?

If not why not?

If not why not?

What is the nature of your employment?(FULL TIME/PART TIME/CASUAL)

What is your occupation?

Employer’s name (inc. accountant if self employed)

Employer’s address

PostcodeContact name Phone no.

Years MonthsLength of employment

$Net Weekly Income

18. Car Registration

PLEASE PROVIDE US WITH 100 POINTS OF IDENTIFICATION

3. Surname Given name/s

Relationship to you Phone no.

19. Are you a smoker (please circle) YES / NO / OUTSIDE ONLY

Pension Type

16. Please provide a contact not living with you in case of emergencySurname Given name/s

Relationship to you Phone no.

If student Identification No.

Overseas Yes / No Visa Expiry date ____/____/___

Name of College TAFE UNI Austudy weekly $

Unemployment Benefit/ Allowance Per week $It is mandatory to supply a income statement

2 Payslips or Income Slips

Driver’s Licence 50Passport 50Proof of Age Card 50Student ID Card 50Copy of Mobile Phone Account 20Copy of Medicare Card 20Concession / Pension Card 10Copy of gas/Water/Electricity account 30 each

Address

15a. Please provide your previous employment details

15b. Please provide your previous employment details

Occupation?

Occupation?

Employer’s name

Employer’s name

Years

Years

Months

Months

Length of employment

Length of employment

$

$

Net Income

Net Income

Phone number

Phone number